Individual
DR. MICHAEL MAX MASCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7373
(845) 333-7342
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7373
(845) 333-7342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
328295-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2021
Last updated
04/19/2024
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